Marchal, Matthew Walter
Marchal, Matthew Walter is an individual health care provider with primary practice located at 200 E Ponce De Leon Ave Suite 110, Decatur GA 30030-3466. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Marchal, Matthew Walter can be contacted via phone (404) 501-6363.Contact Information
Primary practice address
200 E Ponce De Leon Ave Suite 110
Decatur GA 30030-3466
Phone: (404) 501-6363
Fax: (404) 371-0019
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101058012 | Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 070678 | Georgia |
Profile Details
| NPI number | 1457318503 |
|---|---|
| LBN Legal business name | Marchal, Matthew Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Nov 13th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457318503 | NPPES |
| Georgia | MEDICAID | 003139521A |
Popular Providers
-
Kuteyi, Omolara B
3546 Covington Hwy Ste C, Decatur GA 30032-1823 -
Tomeh, Bassam
2536 Lawrenceville Hwy , Decatur GA 30033-3227 -
Richmond, Leslie James
445 Winn Way , Decatur GA 30030-1707 -
Lee, Tiffany
4150 Snapfinger Woods Dr Suite 100, Decatur GA 30035-3417 -
Owen, Marion K
402 W Ponce De Leon Ave , Decatur GA 30030-2443 -
Ibraheem, Musibau A
5322 Snapfinger Park Dr , Decatur GA 30035-4040 -
Wang, Regina
2545 Lawrenceville Hwy Suite 200, Decatur GA 30033-3206 -
Bondulich, Claudio Sergio
2675 N Decatur Rd Ste 601, Decatur GA 30033-6131